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Individual

SAMANTHA COLBOURNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1682 LONGSTREET RD BLDG A, FORT BRAGG, NC 28310-8480
(910) 396-4789
Mailing address
6530 SENATOR DR, FAYETTEVILLE, NC 28304-6001
(910) 988-8753

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2832
NC
2255A2300X
Athletic Trainer

Other

Enumeration date
05/18/2022
Last updated
07/27/2022
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